<!DOCTYPE html>
<html>
<head>
    <meta charset="utf-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <title>AdminLTE 2 | General Form Elements</title>
    <!-- Tell the browser to be responsive to screen width -->
    <meta content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no" name="viewport">
    <style>


    </style>
</head>
<body class="hold-transition skin-blue sidebar-mini">
<div   ng-include src="'common/head.html'"></div>
<div   ng-include src="'common/left.html'"></div>
<div class="wrapper">

    <!-- Content Wrapper. Contains page content -->
    <div class="content-wrapper">
        <!-- Content Header (Page header) -->
        <section class="content-header  ">
            <h1>
                {{'AGENT_MANAGER' | translate}}
                <small>{{'AGENT_ADD' | translate}}</small>
            </h1>
        </section>

        <!-- Main content -->
        <section class="content">
            <!-- general form elements -->
            <div class="">
                <div class="box box-primary">
                    <div class="box-header with-border">
                        <h3 class="box-title">{{'ADD' | translate}}</h3>
                    </div>

                    <form role="form" id="defaultForm" name="form" ng-submit="submitForm(form.$valid)">
                        <div class="box-body">

                            <div class="row">

                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label >{{'A01D01_3' | translate}}</label>
                                        <select ng-model="lineInfo"
                                                ng-options="line.line_id as line.line_name  for line in lines"
                                                class="form-control select2">

                                        </select>
                                    </div>

                                </div>


                            </div>
                            <div class="row">
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="version_no">{{'A01D02_1' | translate}}</label>
                                        <input type="text" ng-model="version_no" class="form-control" name="version_no"
                                               id="version_no" ng-required="true"
                                        >
                                    </div>
                                </div>



                            </div>





                        </div>
                        <!-- /.box-body -->
                        <div class="box-footer">
                            <div class="col-md-4 col-md-push-4">
                                <button type="submit" style="margin-top: 5px" class="btn btn-block btn-success">{{'SURE'
                                    |
                                    translate}}
                                </button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </section>
        <!-- /.content -->

    </div>
    <!-- /.content-wrapper -->

</div>
<div  ng-include src="'common/foot.html'"></div>

</body>
</html>
